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MIMIC-CXR-JPG/2.0.0/files/p19388814/s50735678/83168449-89fcdc4f-efcf35f9-49aaab25-affc0b0b.jpg
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. there is no evidence of rib fracture.
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<unk>-year-old female with pain in the left shoulder, clavicles, left upper thorax after fall. evaluate for acute intrathoracic process or fracture.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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history: <unk>m with chest pain
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the patient is rotated slightly to the left. left base retrocardiac opacity most likely represents atelectasis. no definite focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac silhouette is top-normal. prominence of the main pulmonary artery is seen which may be due to underlying pulmonary hypertension. degenerative changes are seen along the spine.
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shortness of breath and altered mental status.
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ap upright and lateral views of the chest provided. cardiomegaly is again seen. mild hilar congestion is noted without frank edema. no definite signs of pneumonia, effusion or pneumothorax. bony structures are intact. no free air below the right hemidiaphragm.
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<unk>f with fever, cough // ? pneumonia
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the lungs are well inflated and clear bilaterally with no masses or lesions identified. there is no pleural effusion or pneumothorax. there is mild flattening of the diaphragms bilaterally. the pleural surfaces are within normal limits. there are no osseous lytic or blastic lesions suspicious for metastasis. there is evidence of an old right lateral rib fracture.
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<unk>-year-old male with a history of multiple myeloma presents with cough and leukocytosis.
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no endotracheal tube is visualized on the current study, per discussion with the covering physician the patient was extubated prior to the radiograph. a right-sided internal jugular catheter is in-situ, the tip is likely in the right atrium and could be withdrawn <num>-<num> cm. a nasogastric tube is in-situ, the side port is just distal to the expected location of the gastroesophageal junction. no pneumothorax seen. no consolidation or pleural effusion seen.
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<unk> year old man with ett // ett; interval changes
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the cardiac, mediastinal and hilar contours appear unchanged. a small lung nodule projecting over the left upper lobe appears unchanged since the prior examinations. otherwise, the lungs appear clear. there are no pleural effusions or pneumothorax. bony structures are unremarkable.
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followup of pulmonary nodule.
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frontal and lateral chest radiograph demonstrate subtle opacity in the right lower lobe concerning for pneumonia. the left lung is grossly clear with no focal consolidation. there is no pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are within normal limits.
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<unk>-year-old male with new fever.
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there is volume loss at the right lung base with rightward shift of mediastinal structures and streaky new medial right basilar opacification suggesting substantial atelectasis. pulmonary architecture is highly irregular with relative lucency in the upper lungs, most consistent with emphysema, and the chest appears hyperinflated. although it may be an artifact associated with the way in which the cardiac and mediastinal structures are rotated to the right, there is a newly apparent convex contour to the right mediastinum. the lateral view suggests very small pleural effusions. there is no pneumothorax. the bones appear demineralized.
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shortness of breath and recent trauma.
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pa and lateral chest radiographs were provided. the lungs are well expanded. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. the bones are intact.
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productive cough, nasal pressure and exposure to mold. evaluate for infiltrate.
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no focal consolidation is seen. there is no pleural effusion or pneumothorax the cardiac and mediastinal silhouettes are unremarkable.
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history: <unk>f with breast cancer on chemo p/w fever // ?pna
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ap portable upright view of the chest. left chest wall aicd is again seen with leads extending into the region of the right atrium and right ventricle. the heart is top-normal in size. there is hilar congestion without overt pulmonary edema. underlying emphysema is again noted. no large effusion or pneumothorax. mediastinal contour is stable. bony structures are grossly intact. there is severe degenerative disease at both shoulders.
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<unk>m with chest pain, vt
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a right picc terminates in the mid to distal superior vena cava. tracheostomy tube is in satisfactory position. an enteric tube is present and terminates out of the field of view, likely within the duodenum. a left internal jugular catheter has been removed in the interim. cholecystectomy clips are noted. the known right upper lobe posterior consolidation is slightly decreased in density. mild pulmonary edema is stable. there is no pleural effusion, pneumothorax or new focal consolidation. the cardiac and mediastinal contours are normal. the splenic shadow is absent.
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sickle cell disease, seizure and recent removal of a central line.
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right-sided port-a-cath tip terminates in the low svc. a left central venous catheter tip terminates in the upper svc. tracheostomy tube tip terminates approximately <num> cm from the carina. lung volumes remain low. heart size is normal. mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. there is retrocardiac opacity which could reflect atelectasis, but infection is not excluded. no large pleural effusion or pneumothorax is seen on this supine exam. mild s-shaped scoliosis is re- demonstrated within the thoracolumbar spine.
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history: <unk>f with cf, vent dependent with minimal air leak. // evaluate for tracheostomy placement
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there are subtle new opacities in the right lower lobe. multiple biapical calcified granulomas and biapical scarring are again seen. a calcified granuloma in the lateral left lower lung is also again seen. calcified mediastinal lymph nodes are better assessed on recent ct. there is mild cardiomegaly. cardiomediastinal hilar silhouettes are unremarkable. no pleural effusion or pneumothorax. a presumed vp shunt catheter is unchanged in position.
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<unk>f with cough // pna
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single portable view of the chest was compared to previous exam from <unk>. the lungs are clear of consolidation or effusion. cardiomediastinal silhouette is within normal limits. triple-lead pacing device is again noted with three leads seen in similar position compared to prior. osseous and soft tissue structures are unremarkable.
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<unk>-year-old male with chest pain and back pain, unstable vital signs. question aortic dissection.
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frontal view of the chest was obtained. endotracheal tube terminates <num> cm above the carina. an og tube terminates below the diaphragm. right ij large bore catheter terminates in the lower right ij or upper svc. left subclavian central catheter terminates in the upper svc. lung volumes remain low. pulmonary edema is improved, now mild, and small bilateral pleural effusions with adjacent atelectasis remain. heart size and cardiomediastinal contours are stable.
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<unk>-year-old male with severe sepsis.
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there are low lung volumes. cardiac size is top-normal. the mediastinum is widened, could be the projection or enlargement/ dilatation of the ascending aorta. the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable
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<unk> year old man with fevers // rule out infection
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a portion of the bilateral lung fields is partially obscured by overlying deep brain stimulator pulse generators. there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities are identified.
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<unk>m with advanced <unk>'s, test requested by neuro prior to admission // eval for acute cardiopulmonary process
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semi-upright portable chest radiograph demonstrates interval removal of a left chest tube. there is no definite pneumothorax. there is bibasilar opacity, likely reflecting a combination of atelectasis, and/or effusion. a swan-ganz catheter remains inserted through right ij access sheath. the tip is in the main pulmonary outflow tract. an endotracheal tube is unchanged in position. an ng tube is not well seen, or as it was previously seen passing into the stomach. median sternotomy wires are unchanged.
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<unk>-year-old male status post cabg with chest tubes removed, evaluate for pneumothorax.
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear without evidence of active or latent tuberculosis. there is no pleural effusion or pneumothorax.
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recent ppd conversion. evaluate for tuberculosis.
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lung volumes are low. there is severe right convex scoliosis of the visualized spine, centered in the lower cervical spine. ill-defined bibasilar opacities may represent atelectasis or aspiration. there is no pleural effusion. no pneumothorax. mediastinal and hilar contours are stable with unchanged severe tortuosity of the thoracic aorta. mild cardiomegaly is unchanged.
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history: <unk>m with chest pain // ?pna
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the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. slightly tortuous descending thoracic aorta is noted. mild mid thoracic dextroscoliosis is noted.
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<unk>m with palpitations, dyspnea // evalaute for acute process
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the lungs are well expanded and clear. the heart size is top-normal. the hilar and mediastinal contours are normal. there is no pleural abnormality. wedge deformity of the mid thoracic vertebra is chronic.
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<unk> year old woman with metastatic cervical cancer getting radiation, now with cough and fever for <unk> weeks. // assess for pna
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ap portable upright view of the chest. port-a-cath is unchanged. there has been interval intubation with the tip of the endotracheal tube positioned <num> cm above the carina. ng tube courses into the upper abdomen. scattered at opacities within the lungs unchanged.
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<unk>f with intubation, og tube placed // ? et tube, og tube placement
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the cardiac, mediastinal and hilar contours are normal. lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
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chest pain.
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the patient is status post coronary artery bypass graft surgery with sternotomy. several discontinuous and displaced sternal wires projecting over the upper mediastinum appear unchanged. the heart is again moderately enlarged. pulmonary vessels and interstitium are prominent with indistinct vascularity, suggesting moderate vascular congestion, somewhat more prominent than on the more recent prior examination suggesting moderate pulmonary edema. no definite pleural effusion or pneumothorax is visualized.
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hypotension.
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the lungs are well expanded. there is mild pulmonary vascular congestion, mild reticular opacities, perihilar fullness, and small bilateral pleural effusions, consistent with mild pulmonary edema. bibasilar opacities are seen, which may reflect atelectasis, although cannot exclude pneumonia or aspiration in the right clinical setting. no pneumothorax is seen. there is mild to moderate cardiomegaly. left-sided pacemaker is seen with intact leads in appropriate positions.
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history: <unk>m with sob for a week // ? reason for shortness of breath
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cardiac silhouette size is normal. mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormality is detected.
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history: <unk>f with cough
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portable semi-upright radiograph of the chest demonstrates low lung volumes with some bronchovascular crowding. there are small bilateral pleural effusions, right greater than left, with adjacent atelectasis. the right upper lobe opacity is somewhat less conspicuous on this exam. cardiomediastinal and hilar contours are unchanged. no pneumothorax.
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<unk>-year-old female with recent biopsy of right lung mass and pulmonary hemorrhage. evaluate for interval change.
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the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear.
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intracranial hemorrhage.
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postoperative appearance of the cardiomediastinal silhouette is stable. hilar contours are normal. there is relative horizontal orientation of the tracheostomy tube which is otherwise in adequate position. tracheal cuff appears to be inflated to a greater diameter than the trachea. a calcified nodule at the right lung base is unchanged and corresponds to granuloma on prior ct. lungs are otherwise clear. there is no pleural effusion or pneumothorax.
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myopathy, ventilator-dependent. query trach position.
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there is a pleural catheter curled in the right lower pleural space. no residual pneumothorax is visible. there is no mediastinal shift or diaphragmatic deformation. vertically oriented opacity in the left hemithorax likely represents prior radiation change and suture chain represents prior resection.
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<unk>-year-old female with pneumothorax, status post chest tube placement which is now clamped.
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pa and lateral chest radiographs were provided. lung volumes are low. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. the bones are intact.
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<unk>-year-old female with chest pain, rule out infectious process.
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heart size is normal. the cardiomediastinal silhouette and hilar contours are unremarkable. the lungs are clear without focal consolidation, effusion, or pneumothorax.
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cough and fever.
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a portable supine frontal chest radiograph demonstrates interval placement of an endotracheal tube, which terminates at the carina. a nasogastric tube courses below the diaphragm and off the inferior edge of the image. the remainder of the exam is similar, with patchy opacity at the right base is concerning for pneumonia.
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status post intubation.
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the heart size remains mildly enlarged. the mediastinal and hilar contours are unremarkable. several clips are demonstrated within the right neck compatible prior partial thyroidectomy. lungs are clear. no pleural effusion, pneumothorax, or pulmonary edema is present. several clips are demonstrated within the mid upper abdomen. there are no acute osseous abnormalities.
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weakness.
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the lungs are hyperinflated. there is severe bullous emphysema on the right. increased ill-defined opacification in the right upper lung is new from prior with focal lateral pleural thickening in this region. an air-fluid level is noted in a large bulla adjacent to the region of consolidation. the left lung is grossly clear. cardiomediastinal silhouette is normal. no pulmonary edema or pleural effusion is present. there is no pneumothorax.
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<unk>-year-old man with cough and chest pain
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the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
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<unk> year old <unk> born woman smoker with weightloss and night sweats. // etiology of weightloss
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the cardiomediastinal and hilar contours are stable. there is no pneumothorax or large pleural effusion. the lungs are well-expanded with increase in interstitial prominence at the lung bases, greater on the right. there are also small nodular opacities in the lateral aspect of the right upper lung, which may have been present on the exam from <unk>. the patient is status post left mastectomy and left axillary lymph node dissection.
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<unk>f with sepsis // ?pulm edema
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pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding similar study of <unk>. the heart size is normal, and no configurational abnormality is identified. thoracic aorta unremarkable. the pulmonary vasculature is not congested. similar as on the preceding examination of <unk>, the diaphragms are somewhat low in position and slightly flattened, a finding which may indicate the presence of copd. acute parenchymal infiltrates, however, cannot be seen. the lateral and posterior pleural sinuses are free, and no pneumothorax is present in the apical area on the frontal view.
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<unk>-year-old female patient with persistent fever, copd exacerbation despite doxycycline, ? pneumonia.
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right-sided pleural effusion is again seen largely unchanged. there is left-sided ground glass opacity which has slightly improved consistent with improving pulmonary edema. endotracheal tube is seen in appropriate position, <num> cm from the carina. ng tube is seen entering the stomach and out of field of view. incidental note of right lateral pleural calcification which is better seen on ct imaging.
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<unk>-year-old male with bilateral pulmonary infiltrates, status post cabg.
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the cardiac silhouette is normal. the mass in the superior segment of the left lower lobe seems slightly more prominent in today's examination. no new focal consolidations. there are no pleural effusions or pneumothorax. visualized osseous structures are grossly unremarkable.
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<unk>-year-old male patient with left lower lung mass and mediastinal lymphadenopathy, status post bronchoscopy.
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heart size is normal. mediastinal and hilar contours are unchanged. lungs are clear. no pulmonary vascular congestion is seen. there is no pneumothorax or pleural effusion. multilevel degenerative changes in the thoracic spine with anterior bridging osteophytes are again noted.
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depression, coronary artery disease, shortness of breath.
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ap single view of the chest has been obtained with patient in semi-upright position. bilaterally, the diaphragmatic contours remain visible and there is no evidence of any significant pleural effusion blunting either right or left-sided lateral pleural sinus. no new parenchymal abnormalities are seen. in comparison with the next previous study of <unk>, the on frontal view markedly prominent contours of the aneurysmatic descending aorta are poorly seen on this image. contact via telephone with referring physician <unk>. <unk> <unk> that the patient had not been operated for the aneurysm during the examination interval.
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<unk>-year-old female patient with end-stage renal disease, colitis, now with sepsis, decreased lung sounds on left lower base, evaluate for effusion, consolidation or edema.
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frontal and lateral chest radiographs were obtained. a right chest tube remains in place. there is a tiny right apical pneumothorax and a small left apical pneumothorax, unchanged from prior study. extensive subcutaneous emphysema throughout the thoracoabdominal wall and neck is again appreciated. the large pneumomediastinum and possible pneumopericardium are unchanged. multiple, minimally displaced right rib fractures are stable. no focal consolidation, pleural effusion is seen. the heart size is normal. mediastinal and hilar contours are normal.
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patient is status post fall with multiple rib fractures and bilateral pneumothoraces, eval interval change.
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a right-sided chest drain is in-situ, unchanged in position compared to the prior study. the previously demonstrated pneumothorax has now resolved. lung volumes are within normal limits. the trachea is central. the cardiomediastinal contour is normal. there is left lower lobe consolidation versus atelectasis. no pleural effusion seen.
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<unk> year old man with ptx // ptx; please schedule for <num>am today
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
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history: <unk>f with chest pain
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air under the diaphragm is seen.
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<unk>f with productive cough. evaluate for pneumonia.
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there are low lung volumes bilaterally. the lungs are clear. no evidence of focal consolidations, pulmonary edema, pleural effusions, or pneumothorax. the mediastinum is slightly widened, likely due to tortuosity of ascending aorta. the hila and heart are within normal limits. no acute osseous abnormalities.
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<unk> year old man with cirrhosis p/w abd pain w/ crackles on lung exam // ?pulm edema
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frontal and lateral chest radiographs demonstrate intact sternal wires and clips along the left mediastinum. the heart is top-normal in size. opacity projecting over the lower lungs on lateral view may correspond to either retrocardiac opacity or right infrahilar opacity. there are bilateral small pleural effusions and possible mild heart failure. no pleural effusion or pneumothorax is appreciated. the visualized upper abdomen is unremarkable.
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evaluate for infiltrate in a patient with chest pain.
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the cardiomediastinal and hilar contours are within normal limits. the lungs are clear without focal consolidation, pleural effusion or pneumothorax.
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<unk>f with +productive cough/fevers/chills // ?pna
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portable ap upright chest film <unk> at <time> is submitted.
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<unk> year old man with cirrhosis and ckd on liver/kidney transplant list with dislodged ng tube s/p replacement // ? dobhoff posistion ? dobhoff posistion
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the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. bones appear within normal limits.
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cough and fever.
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a right-sided internal jugular port-a-cath is in-situ. the tip terminates in the mid svc, unchanged compared to the prior study. lung volumes are essentially unchanged. minimally atelectasis at the left base is similar when compared to the prior study. no pleural effusion, pneumothorax or consolidation seen. the visualized bony structures are unremarkable in appearance.
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<unk>f hx sle on immunosupression w/ chronic diverticulitis now s/p lap sigmoid colectomy, flex sig // port position
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compared to the prior radiograph, increased interstitial lung markings and more severe bilateral pulmonary alveolar opacities, with persistent cardiomegaly, are consistent with pulmonary edema. asymmetric dense right perihilar opacity similar in appearance since <unk>, likely due to asymmetrical edema, although superimposed pneumonia is not excluded. small bilateral pleural effusions with compressive bibasilar atelectasis is unchanged. left-sided pacemaker device identified with leads in unchanged position.
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<unk>f with h/o chf, with dypsnea, hypoxia. assess for pulmonary edema, effusion, infiltrate.
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right picc tip terminates in the mid svc. patient is status post median sternotomy, cabg, and left-sided pacemaker placement with leads in unchanged positions. lung volumes are low. heart size is markedly enlarged, unchanged. the aorta remains unfolded. there is mild pulmonary edema, not substantially changed in the interval, with small to moderate size right and probable trace left pleural effusions. the pleural effusions overall are likely unchanged in size. no pneumothorax is present. patchy opacities in the lung bases likely reflect areas of atelectasis.
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history: <unk>m with chf exacerbation, altered mental status. assess for picc in correct place? chf exacerbation?
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the patient is status post median sternotomy with multiple intact appearing sternal wires. mediastinal surgical clips are compatible with prior cabg surgery. the cardiac silhouette is mildly enlarged, increased from the prior study of <unk>, which may be in part related to ap technique. the mediastinal and hilar contours are within normal limits. there is minimal calcification of the aortic knob. the inspiratory lung volumes are appropriate. likely bibasilar atelectasis, early infection not excluded in appropriate clinical setting. no large pleural effusion or pneumothorax is appreciated. healed right rib fractures are noted.
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fever and altered mental status, here to evaluate for pneumonia.
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prior vats right wedge resection no pneumothorax or pleural effusions. subsegmental atelectasis in the lower lobes has improved. no pulmonary edema no acute focal consolidation.
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<unk> year old man s/p r vats wedge // check interval change
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lung volumes are unchanged compared to the prior study. a right subclavian port-a-cath is unchanged in appearance. the cardiomediastinal contour is within normal limits. no consolidation, pneumothorax or pleural effusion seen.
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<unk> year old man with worsening ams and prior cxr c/f opacity // eval for pna
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the inspiratory lung volumes are appropriate. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiomediastinal and hilar contours are within normal limits. no acute osseous abnormality is detected.
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<unk>-year-old woman with cough and myalgias, here to evaluate for pneumonia.
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the cardiac, mediastinal and hilar contours appear stable. there is persistent patchy left mid lung opacity that appears decreased, suggesting improvement in atelectasis, although there is probably still some degree of volume loss noting mild relative elevation of the left hemidiaphragm. projecting over the lower right mid lung is a new nodular focus that appeared over the short interval so this is probably due to an area of minor atelectasis with a nodular appearance.
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altered mental status.
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single frontal radiograph of the chest demonstrates the lungs are well expanded, with no evidence of focal pneumonia, pulmonary edema, pleural effusion, or pneumothorax. minimal biapical scarring is again noted. the cardiomediastinal silhouette is unremarkable.
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<unk>-year-old female with chest pressure and palpitations as well as nausea. evaluation for acute cardiopulmonary process.
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single frontal portable view of the chest was obtained. the patient is rotated with respect to the film. endotracheal tube terminates <num> cm above the carina. nasogastric tube side hole is within the stomach. the heart size is normal. cardiomediastinal contours are unremarkable. opacity in the left lung base is compatible with atelectasis. blunting of the left costophrenic angle may represent a small pleural effusion. no lobar consolidation. no pneumothorax. osseous structures are unremarkable.
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<unk>-year-old male with ascites and hematemesis.
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pa and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear. there is no effusion. the cardiomediastinal silhouette is within normal limits. calcific density again projects over the scapula on the frontal view, likely an intra-articular body within the right glenohumeral joint recess. osseous and soft tissue structures are otherwise notable for hypertrophic changes in the spine.
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<unk>-year-old male with left arm pain, acs risk factors.
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frontal and lateral views of the chest. there is new focal consolidation at the right lung base posteromedially obscuring the posterior costophrenic angle. elsewhere, the lungs are clear. there is no pulmonary edema. cardiomediastinal silhouette is stable. hypertrophic changes seen in the spine.
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<unk>-year-old male with chf and shortness of breath since last night.
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compared with the immediate prior study of <unk>, mild pulmonary vascular congestion and subsegmental atelectasis has resolved. postoperative appearance of the mediastinum continues to improve. there is stable moderate cardiomegaly. there may be a small left pleural effusion. the right ij cvc catheter tip ends in the right atrium.there is no focal consolidation pneumothorax, or pulmonary edema.
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<unk> year old woman s/p cabg // predischarge eval
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the swan-ganz catheter tip projects over the left main pulmonary artery, unchanged. the intra-aortic balloon pump tip is placed <num> cm below the roof aortic arch. continued interval improvement of the pulmonary edema, without new pleural effusions or pneumothorax. stable cardiomegaly, mediastinal, and hilar contours. no new focal consolidation.
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<unk> year old man with vt, severe schf presenting with cardiogenic shock on hemodynamic support. ?interval change in pulm edema, balloon pump and pa cath placement.
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heart size is top normal. mediastinal and hilar contours are unremarkable. there is mild pulmonary vascular congestion. no focal consolidation, pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. old left-sided rib fractures are re- demonstrated. clips from prior cholecystectomy are seen in the right upper quadrant.
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chest pressure.
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the lungs are clear. there is no focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk>f with hypothermia/hypoglycemia // eval for pna
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mild cardiomegaly is unchanged. calcified aortic arch is unchanged. lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
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<unk>m with syncope, weakness. evaluate for acute process.
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left chest wall transvenous pacing device with lead ending in the right atrium, as expected. a right pleural effusion has increased from prior, although the exact size is difficult to discern given a probable subpulmonic component. heart is top-normal in size. mediastinal contour is normal. lungs are clear.
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<unk> year old man with hemorrhagic right pleural effusion
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the lungs are clear with no evidence of consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. no acute fractures are identified.
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evaluation of patient with shortness of breath.
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there are low lung volumes. there is elevation of the right hemidiaphragm, persistent since the prior study, with overlying atelectasis. no definite focal consolidation is seen. there is no pleural effusion or pneumothorax. no pulmonary edema is seen. cardiac silhouette is top-normal to mildly enlarged. mediastinal contours are unremarkable.
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<unk>f h/o hypertension-induced cardiomyopathy ef <unk>%, esrd p/w dizziness, sob // infection, congestion, any abnl
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a right-sided port-a-cath terminates at the cavoatrial junction and is in appropriate position. cardiomediastinal silhouette and hilar contours are within normal limits. left lower lobe atelectasis and small to moderate left pleural effusion are unchanged. the right lung is clear. no pneumothorax.
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<unk> year old man with effusion // effusion f/u
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ap and lateral views of the chest are compared to previous exam from <unk>. there is opacity at the left lung base laterally, also seen on the lateral view compatible with atelectasis versus infiltrate. elsewhere, the lungs are clear of confluent consolidation but notable for prominent central indistinct vascular markings. small effusion is noted on the left. cardiac silhouette is enlarged but stable. osseous structures again notable for posterior right rib fractures.
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<unk>-year-old male with cough and decreased oxygen saturation, question pneumonia.
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there is a left pectoral pacemaker with leads terminating in the right atrium and right ventricle. there is no evidence of an acute fracture. there is no pneumothorax. patient is status post a right lower lobectomy with persistent scarring seen at the right lung base. the lungs are hyperinflated. there is a small left pleural effusion. there is no focal airspace consolidation. cardiac silhouette and mediastinal contours are normal. a calcified aorta is noted.
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new pacemaker, evaluate lead placement.
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a large left pleural effusion is present, slightly smaller than on the most recent prior exam. evaluation of the left mediastinal contours is limited in the presence of this finding. there is no right pleural effusion. there is no pneumothorax. there is no focal consolidation concerning for pneumonia. a stent is partly visualized in the right upper abdomen which extends closer to the diaphragmatic hiatus as compared to the prior exam, consistent with recent tips revision. gaseous distention of bowel loops in the right upper quadrant also noted. the visualized osseous structures are within normal limits.
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<unk> year old man with history of cirrhosis and hepatic hydrothorax s/p tips // evaluate for pleural effusion
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pa and lateral chest radiographs. right middle lobe and lingular opacification persist and likely reflect atelectasis. lateral view shows one of the lower lobes is also involved. there is no pleural effusion or pneumothorax. the heart size is normal.
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cough and fever.
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lung volumes are unchanged compared to the prior study. the trachea is central. an nasogastric tube terminates in the stomach. the cardiomediastinal contour is unchanged. there is persistent mild bibasilar atelectasis, there may be small bilateral pleural effusions. no consolidation seen. mild pulmonary vascular congestion persists.
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<unk> year old woman with sbo, ongoing nausea and vomiting with ngt placed // please assess for appropriate placement of ngt
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the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart size is normal. the mediastinal contours are normal.
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<unk>-year-old male with cough // eval for infiltrate
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a dual lead left chest wall pacemaker phase in unchanged position. the cardiac silhouette is moderately enlarged, slightly increased from prior. there is new pulmonary edema. there may be trace bilateral pleural effusions. no pneumothorax.
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history: <unk>f with sob // ?pneumonia
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top normal. the mediastinal and hilar contours are stable.
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weakness.
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redemonstrated are <num> apical and <num> basal right-sided chest tubes, unchanged in position. stable, subcutaneous emphysema is again noted. there is currently no visualized pneumothorax or pleural effusion. the right lung demonstrates decreased lung volumes, with an associated diffuse increase in density. the left lung is grossly normal in appearance. the heart size is normal. mediastinal contours are stable.
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status post thoracotomy with placement of <num> right-sided chest tubes.
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portable ap upright chest radiograph was provided. ba aicd appears unchanged in position with leads extending to the region of the right atrium and right ventricle. midline sternotomy wires and mediastinal clips are again noted. the lungs are clear bilaterally. the cardiomediastinal silhouette appears grossly stable with top-normal heart size. no large effusion or pneumothorax. bony structures are intact.
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<unk>m with ams
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the heart size is normal. mediastinal and hilar contours are unremarkable. there is no pulmonary edema. the right hemidiaphragm remains elevated. focal opacity along the peripheral aspect of the right lung base is more pronounced compared to the prior radiograph from <unk>, but correlated to an area of rounded atelectasis on the prior radiograph and ct from <unk>, and may relate to atelectasis/scarring which is accentuated by the decreased lung volumes. this is adjacent to remote right rib fractures. left lung is clear. no pleural effusion or pneumothorax is seen. degenerative changes are noted in both glenohumeral joints. multiple clips are again seen in the left upper quadrant of the abdomen.
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confusion, fall.
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pa and lateral chest views were obtained with patient in upright position. the heart size is within normal limits. no typical configurational abnormalities identified. thoracic aorta of ordinary dimension but a tiny semicircular calcification is seen in the wall of the aortic arch. no local contour abnormalities are identified. the pulmonary vasculature is not congested. no signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. no gross skeletal abnormalities. no pneumothorax in the apical area on frontal view. our records do not include a previous chest examination available for comparison.
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<unk>-year-old male patient with end-stage renal disease, pre-renal transplant, evaluation code <unk>, assess for cardiopulmonary abnormalities.
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pa and lateral views of the chest were obtained. cardiomediastinal silhouette is stable. lungs are symmetrically expanded. there is no focal consolidation. linear bibasilar opacities likely represent atelectasis. there is no pleural effusion. no pneumothorax. pulmonary vasculature is within normal limits.
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<unk>-year-old woman with cough, fever, nausea and vomiting. please evaluate for pneumonia or pulmonary edema.
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pa and lateral views of the chest. linear opacities identified at the lung bases suggestive of atelectasis versus scarring. there is no effusion or confluent consolidation. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities detected.
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<unk>-year-old female with chest pain.
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frontal and lateral views of the chest were obtained. the lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax with interval resolution of the left pleural effusion. linear scarring or atelectasis in the right middle lobe is unchanged. the patient is status post cabg with intact median sternotomy wires. heart size is normal. mediastinal silhouette and hilar contours are normal.
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<unk>-year-old man status post cabg and maze procedure. patient feels clicking in his chest. evaluate for broken wire.
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portable ap chest radiograph. left-sided chest tube has been placed and the pneumothorax has resolved. the mediastinum is now appropriately situated. lung volumes are low with bibasilar atelectasis. there is also small pleural effusion on the left, similar to <time> a.m.
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large left tension pneumothorax, decompressed with chest tube. evaluation for interval change.
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enteric tube tip well below diaphragm, not included on the radiograph. endotracheal tube has been removed. there is tiny left pleural effusion, improved. more prominent left basilar consolidation. right lung is clear. normal heart size, pulmonary vascularity
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<unk> year old man with paraesophageal hernia s/p lap repair with anterior fundoplication <unk> p/w abd pain and distension. // ?interval change
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there is a large right and small left pleural effusion with mild pulmonary vascular redistribution and moderate cardiomegaly. the findings are compatible with chf. given technique, the extent of the chf is similar compared to prior. dual lead pacemaker with leads in similar location compared to prior is again seen. the patient is status post sternotomy with sternal wires and mediastinal clips.
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syncope and check cardiac leads.
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pa and lateral views of the chest. mild left basilar opacity is seen which is somewhat linear suggestive of atelectasis. the lungs are otherwise clear. the cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
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<unk>-year-old female with syncope.
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severe scoliosis is redemonstrated with persistent moderate cardiomegaly. no focal consolidations concerning for pneumonia are identified. there is no pleural effusion or pneumothorax. there is mild bibasilar atelectasis. the visualized osseous structures are unremarkable. posterior spinal fusion hardware is unchanged in appearance.
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history of cough, fatigue. please evaluate for pneumonia.
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there is some residual opacity in the lingula which has significantly decreased since prior exam. there is no new consolidation. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
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<unk>m with cough, tachy // r/o acute process
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bibasilar regions of consolidation are noted. superiorly, the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. there is no free intraperitoneal air. degenerative changes are noted at the shoulders, left more so than right.
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<unk>m with abd pain // free air?
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the lungs are well-expanded and clear. cardiomediastinal and hilar contours are unchanged. there is no pneumothorax, pleural effusion, or focal consolidation. left humeral head replacement is noted.
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history: <unk>m with sob // ? pna
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interval insertion of a left-sided chest tube. new left pneumothorax is moderate with no evidence of tension. left pleural effusion has decreased in size. mild pulmonary edema and pulmonary venous congestion have improved slightly on the right. severe cardiomegaly is unchanged. mediastinal silhouette is unchanged.
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<unk> year old woman with pleural effusion s/p tpc placement // ? pneumothorax
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a left pacemaker with its right ventricular lead is noted, similar to prior ct. there is blunting of the left costophrenic angle, similar to prior exam. chronic appearing rib fractures at the left mid hemi-thorax are noted. the lungs are clear. they do not have any poorly defined cavitary lung nodules.
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<unk> year old woman with tricuspid infective endocarditis, evaluate for septic emboli or infarction.
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